Active NPI
Kiggundu Radiation Therapy, PA
Doing business as Kiggundu Radiation Therapy, Inc.
- Radiation Oncology Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- KIGGUNDU RADIATION THERAPY, PA
- Doing business as
- Kiggundu Radiation Therapy, Inc.
- Practice address
- 2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003 - Phone
- (304) 262-8800
- Fax
- (304) 262-8203
- NPI assigned
- Jan 20, 2006
- Last updated
- Sep 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward W. Kiggundu, MD
- Title
- President
- Phone
- (304) 262-8800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
2000 Foundation Way
Suite 1100
Martinsburg, WV 25401-9003
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other practice location 1
187 Skylar Dr
Lewisburg, WV 24901-9359
Phone (304) 647-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810003414 | Medicaid | WV |
Other names 1
- Kiggundu Radiation Therapy, Inc.
National Provider Directory
National Provider DirectoryLocations
187 Skylar Dr
Lewisburg, WV 24901
Phone (304) 425-1960
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Martinsburg, WV
- NPI 1316933492
-
- Radiation Oncology Physician
- Key West, FL
- NPI 1598760936
-
- Radiation Oncology Physician
- Cumberland, MD
- NPI 1679555452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1154301539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 SE 8TH TER STE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903213",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 FOUNDATION WAY",
"address_2": "SUITE 1100",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254019003",
"telephone_number": "304-262-8800",
"fax_number": "304-262-8203"
}
],
"practiceLocations": [
{
"address_1": "187 Skylar Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "WV",
"postal_code": "249019359",
"country_code": "US",
"telephone_number": "304-647-3500",
"fax_number": "304-647-4446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KIGGUNDU RADIATION THERAPY, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-20",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "KIGGUNDU",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "304-262-8800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810003414",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kiggundu Radiation Therapy, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.